Parastomal Hernia Help: Finding a Leak-Proof Bag

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574
Bobby000
Feb 24, 2025 11:07 pm

Hi folks,
This has probably been asked before; however, I had my major operation in May of last year to remove all my lower bowel and rectum.
Since then, I have developed a parastomal hernia and am having great trouble finding a suitable bag that won't leak. I am currently using surgical tape to stop the flange from opening.

In addition, does the hole in the bag have to be as tight to the stoma as possible?

Tia Bobby.

SusanT
Feb 24, 2025 11:42 pm

Coloplast makes a star-shaped flange that is supposed to be good for stomas with hernias. I don't recall the name, but give them a call and get a sample.

Also, it is essential that you get and wear a hernia support belt. That will help keep the appliance on as well as keep the hernia from getting worse.

They make flange extenders, which will act like the tape you are using but may be more durable.

Bill

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IGGIE
Feb 25, 2025 12:34 am

G-Day Bobby,

Welcome to the group. As for your bag, it's best you cut the hole in the bag a little bit larger than your stoma, but you then make up that gap with a sealing washer that goes on first before the bag. There is a company in the UK called "Salts." Look them up and call them, and they will send you samples of their products. If you cut your bag too close, it will rub on the stoma and make it very sore.

Regards, IGGIE

AlexT
Feb 25, 2025 1:17 am

I have a colostomy and use a flat 1-piece bag with no issues, and I have a hernia.

aTraveler
Mar 01, 2025 2:25 pm

@Bobby, try samples of the following products from Coloplast:

  1. SenSura Mio Convex Flip (barrier/wafer/flange)
  2. SenSura Mio Click Drainable Pouch
  3. Brava Elastic Barrier Strips – Curved
  4. Brava Lubricating Deodorant
  5. Brava Protective Seal
  6. SenSura Mio Belt

Item #1 and item #3 are probably items Susan was referencing.

Keep in mind if item #5 swells too much, the Salts barrier ring that IGGIE mentions may be a better option; therefore, contact Salts to get samples of their barrier ring.

Item #1 and #2 make up a two-piece appliance.

Initially, start out with item #6 to support the stoma appliance and to keep it close to your body. Since you have a hernia, you should consider getting a hernia support belt — Nu-Hope makes good hernia support belts.

Your stoma will move; therefore, you do not want the appliance too tight around it. You have had your stoma long enough for the swelling to have subsided, and you can use a pre-cut barrier/wafer/flange.

 

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